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例1,男,4岁。1997年8月因上腹部不适于乡卫生院肌注胃复安针10 mg后出现阵发性不自主头、颈、躯干向右侧扭转而急诊入院。入院查体:生命体征平稳,神志清楚,精神紧张,双侧瞳孔3 mm,光反射灵敏,心肺未见异常,腹部检查未见异常。可见患者头、颈、上躯不自主向右扭转,持续约1至2分钟,可自行缓解,缓解后无不适。诊断为“胃复安所致锥体外系反应”。给予安定针5mg肌注,监测生命体征。第二天,症状缓解,无肝肾损害。
Example 1, male, 4 years old. In 1997 August due to the upper abdomen is not suitable for township hospital intramuscular injection of metoclopramide 10 mg paroxysmal spontaneous head, neck and torso to the right to reverse the emergency admission. Admission examination: vital signs stable, conscious, nervous, bilateral pupil 3 mm, sensitive to light reflex, no abnormal heart and lung, abdominal examination showed no abnormalities. Can be seen in patients with head, neck, upper torso involuntary turn around for about 1 to 2 minutes, relieve itself, without discomfort. Diagnosed as “metoclopramide-induced extrapyramidal reactions.” Given stable needle 5mg intramuscular injection, monitoring of vital signs. The next day, the symptoms relieved, no liver and kidney damage.